Evidence map›Paper›PMID 30228888›Full record

ArticleUnited European gastroenterology journal2018

The Vampire Study: Significant elevation of faecal calprotectin in healthy volunteers after 300 ml blood ingestion mimicking upper gastrointestinal bleeding.

Stephan R Vavricka, Henriette Heinrich, Simon Buetikofer, Flavia Breitenmoser, Emanuel Burri, Xiaoye Schneider-Yin, Jasmin Barman-Aksoezen, Luc Biedermann, Michael Scharl, Jonas Zeitz and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Factors Associated With Loss of Fecal Biomarker Accuracy During Routine Assessment of Inflammatory Bowel Disease.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Review
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  7. United European gastroenterology journal · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Stephan R VavrickaDepartment of Medicine, Division of Gastroenterology, Triemli Hospital, Zurich, Switzerland.
Henriette HeinrichDivision of Gastroenterology and Hepatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Simon BuetikoferDepartment of Medicine, Division of Gastroenterology, Triemli Hospital, Zurich, Switzerland.
Flavia BreitenmoserDepartment of Medicine, Division of Gastroenterology, Triemli Hospital, Zurich, Switzerland.
Emanuel BurriDepartment of Gastroenterology, Cantonal Hospital, Liestal, Switzerland.
Xiaoye Schneider-YinInstitute of Laboratory Medicine, Triemli Hospital, Zurich, Switzerland.
Jasmin Barman-AksoezenInstitute of Laboratory Medicine, Triemli Hospital, Zurich, Switzerland.
Luc BiedermannDivision of Gastroenterology and Hepatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Michael ScharlDivision of Gastroenterology and Hepatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Jonas ZeitzDivision of Gastroenterology and Hepatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Gerhard RoglerDivision of Gastroenterology and Hepatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Benjamin MisselwitzDivision of Gastroenterology and Hepatology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Matthias SauterDepartment of Medicine, Division of Gastroenterology, Triemli Hospital, Zurich, Switzerland.ORCID 0000-0002-6921-3958
University of Zurich · CHTriemli Hospital · CHKantonsspital Baselland · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFaecal calprotectin correlates with histological and clinical activity in inflammatory bowel disease. Gastrointestinal bleeding might also increase faecal calprotectin levels, erroneously implying intestinal inflammation; however, this possibility has not been systematically assessed.

methodsSixteen healthy volunteers without gastrointestinal disease and normal faecal calprotectin baseline values ingested their own blood twice, either by drinking or via nasogastric tube. Quantities of 100 ml and 300 ml blood were ingested in a randomised order, with a 28-day wash-out period. Faecal calprotectin, faecal occult blood test, and the occurrence of melaena were assessed. Faecal calprotectin ≥ 50 µg/g was considered elevated.

resultsMelaena was reported by all healthy volunteers after 300 ml and by 11/15 healthy volunteers (71%) after 100 ml blood ingestion. One day after ingestion of 300 ml blood, 8/16 faecal calprotectin tests were positive compared to 1/16 at baseline (

conclusionIngestion of blood resulted in an increase in faecal calprotectin-positive tests. Gastrointestinal bleeding should be considered as a potential cause of mild faecal calprotectin elevation > 50 µg/g; however, increased faecal calprotectin above > 250-300 µg/g, the established cut-off for relevant intestinal inflammation in patients with inflammatory bowel disease, is rare.

Indexed as

CalprotectinCrohn’s diseasegastrointestinal bleedinginflammatory bowel diseasemucosal inflammationulcerative colitis

Identifiers

PMID30228888
PMCPMC6137587
OpenAlexW2805132790

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.